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TORWA NON-HAZAR US WASTE MANIFEST <br /> l' WASTE TREATIWT AND DISPOSAL FACILITY <br /> �'.1 , CORPORATED <br /> JOB ACCEPTANCE NO. 76$911 <br /> 'ENERATOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 01% dam Oi3 y GLOVES [:]GOGGLES ❑RESPIRATOR ©HARD HAT <br /> MAILING ADDRESS _ ❑TY-VEK [:)OTHER <br /> 260 4 it-e e Cxrt <br /> CITY,STATE,ZIP SPECIAL HANDLING PROCEDURES: <br /> Sccth eiazz F-%a=mw,CA94050 <br /> PHONE <br /> (2 09 f 467•1 C46 <br /> CONTACT PERSON <br /> SIGNATURE OF AUTHORIZED AGENT !TITLE DATE <br /> i4.,i,�,.(-fir it :`! (.�-' � r i =• <br /> WASTE TYPE RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ` ❑ TREATMENT SOIL ❑ NON-FRIABLEASBESTOS FORWARD INC. LANDFILL <br /> • 0 DISPOSAL SOIL ❑ WOOD 9999 SOUTH AUSTIN ROAD <br /> ❑ CONSTRUCTION SOIL ❑ ASH <br /> ❑ STOCKPILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY (209) 982-4298 PHONE <br /> 1. C.2 "Uy_W linh ��I V_ (209) 982- 1009 FAX <br /> AME TRACTOR LIC. # TRUCK NUMBER <br /> ADDRESS TRAILER LIC. <br /> CITY,STATE,ZIP TRAILER LIC.# <br /> f PHONE y END DUMP BOTTOM DUMP TRANSFER <br /> ,1 :7 ❑ ❑ ❑ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> f= ❑ ❑ Cl ❑ <br /> FORWARD INC. LANDFILL CUBICYARDS< <br /> Forward shall have no obligation to accept the waste if weather or other ' <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FORWARD) <br /> impairs the safe and effective operation of the Landfill. Forward shall use <br /> 1 reasonable efforts to promptly notify Disposer of its inability to accept the �� DISPOSE BIO AERATE SIOCKFILE OTHER <br />)i ti.aste for any reason. If Forward's refusal to accept the waste is based onSOiL <br /> weather or other site conditions,Forward shall notify the Disposer when site <br /> conditions are expected to change such that Forward will be able to accept <br /> 1hewaste. .. ...... ., . . ._. . .. ..., . . ❑ SLUDGE <br /> REMARKS <br /> NON-FRIABLE <br /> ❑ ASBESTOS <br /> FACILITY TICKET NUMBER <br /> .-.. N -__..-t..,..:-_ - ... .. ❑ WOOD <br /> SIGNATURE QF AUTHORIZED AGENT; <br /> El ASH <br /> 1' �— _✓ 1: ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> jUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY.0ELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> O SCHEDULE CALL (209) 982-4298 <br /> O I tCe=,INH)6-96 SALES COPY MANIFEST# C S %`3e. 5 <br />